Abstract
This is a 60 year old male who presented with increased lower extremity edema for a month and right upper quadrant abdominal pain for a week. A CT of his abdomen showed a right renal mass consistent with renal cell carcinoma (Figure 1, red arrow), along with a tumor thrombus extending into the inferior vena cava (IVC) to the level of the junction with the right atrium (Figure 1, blue arrow, and Figure 2). An echocardiogram revealed an enlarged IVC with an increased echogenicity likely representative of an extensive tumor (Figure 3). Subsequently, he underwent a right radical nephrectomy, vena cava reconstruction, and thrombectomy. However, his post-operative course was complicated by multi-organ failure, and he eventually passed.
Recommended Citation
Mallari, MD, Kashka
(2024)
"Renal Cell Carcinoma Manifesting as a Tumor Thrombus Identified on Transthoracic Echocardiography & CT Scan,"
The Medicine Forum: Vol. 25, Article 20.
DOI: https://doi.org/10.29046/TMF.025.1.019
Available at:
https://jdc.jefferson.edu/tmf/vol25/iss1/20
